Individual provider · Type 1 NPI

Karrie Larae Wilson, LMP

Massage Therapist · Vancouver, WA

NPI number 1073761185 Active

Practice location

501 SE 172nd Ave
Vancouver, WA 98684-9542

Call (360) 882-2778 Map

Fax (360) 604-1771

Mailing address

700 NE 87th Ave
Vancouver, WA 98664-1913

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60025093 (WA)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1073761185

Karrie Larae Wilson, LMP's National Provider Identifier is 1073761185, issued on Sep 3, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vancouver, WA. The record was last updated on Dec 28, 2009.